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Dr. Tomaino's Blog

It's Fundamental, isn't it?

September 17th, 2008
The Annual Meeting of the American Society for Surgery of the Hand is in Chicago this week, and its hard not to marvel at some of the latest construction--huge, towering skyscrapers assembled via external elevators up into the sky. Yet the grim reminder of the world trade center towers falling on 9/11, seven years ago-- fresh in our minds this month-- reveals that even the most brilliantly engineered structures can fall.

I am constantly in awe of the fundamentals (engineering, financial, scientific) that serve as the basis for contemporary human accomplishment--both of individuals and of organizations. So too, however, are there examples and images of disasters that have resulted because of a disregard for "fundamentals".

Capitaizing operating expenses led, among other things, to the downfall of WorldCom; excessive leverage and unscrupulous lending are largely responsible for today'schallenges in the financial sector; not being authentic, over promising and under delivering compromise the messages of our political leaders.

It's Fundamental! Be authentic. Respect fundamental principles and execute as well as humanly possible.

In medicine it is the same--but, nonetheless, I am often mystified by how little analysis goes in to "consumerism" and "delivery". Amidst numerous choices about who to see, where to go, and what to have done--we may often be directed by mere inertia or referral, without much investigation. There may at times be more analysis behind a company's budget for next year or its income statement this quarter than one's decision to operate or not, or regarding what option is best for you.

Ofcourse, medicine is not a hard science---but I would suggest that equal rigor should rest behind decision-making---yours and your doctor's.

Knowlege is power. Access to Knowlege is empowering. Ensure that you are empowered, confident in adherance to the fundamentals, and yet privy to the pros and cons of innovation when it comes to your health care decision.


maryann mazzaferro

in the area of knowlege and access of knowlege what can be more empowering than the internet? When i found out i was going to have a shoulder replacement i researched diligently every on the internet- the pros and cons of a very innovative procedure. i went on countlessw websites to become well-informed before my upcoming surgery. it is so important to be knowlegeble of your health care diagnosis and procedure. then ask the expert!! dr. tomaino has been there every step of the way to answer my questions. yes, knowlege is power. access that knowlege and keep yourself informed on your health care diagnosis. it's the key to recovery and peace of mind for your health care. And if you have questions- rest assured they will be answered!!

September 18th, 2008 @ 2:37 pm

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